1400 NE 101 St (10)Date
Type Insp'n T r '
Permit No. P ( ^ 4 \ S
Name V LCCJ Y S -
Address I`�IOI N k
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
P )A-Q Psc
MIAMI SHORES VILLAGE, FLORIDA
;UILbING ❑
LECTRICAL ❑ DATE r i 2- 195 -�
'L ECTRI G p PERMIT N? 7521 Contractor's x , .
License No ,
AL ,
, 4
1O,OFING ❑
❑ Work to be performed under this Permit
)caner of
; uilding
architect
: ontractor
, r Builder
.ega1 Lot
)escription
iddress of
iuilding
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawings or in the/statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees.
Signed Y• �Y,r
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
. ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
17
BUILDING ❑
ELECTRICAL
PLUMBING L
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N° 15226
❑ Work to be performed under this Permit
Architect
Contractor
or Builder r^
Legal Lot II M.
Description.
Address of
Building
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • ` .. BY a
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
BUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING
Owner of
Building
❑ PERMIT N? 14914
Architect
Contractor
or Builder
Legal Lot II Bl.
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE
4
Amt. of
Permit $
195"
Contractor's
License No
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed •..• ti.
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address -_ �r !i<.4%l. 12_ _ d __ -6. _�: n J �-_
-_' __ . -e) • No Street
Registered Architect and /or Engineer
Employing Plumber's Name � '4_ «'_ No. ___ /_. L.' L... Street__ !{1�__k c
Location and Legal Description Lot_- -- 3 ___ _ ____ Block-- __._...1.... _. -- --- - -• -_- - - - - -. Subdiviion.h t-�— SA eta"1-% --a
Street and Number where work is to be performed —No l `3 . �'? 6 i 0 d_ S 'I( St reet_
State work to be performed and purpose of building (By Floors)...
New Building_ -_. V Remodeling Addition Repairs No. of Stories
Amount of Permit $.
Size Septic Tank Type of Tank___ Capacity Gals.
Feet of Drain Tile __._._ _ _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supp ell ' —. Size of Soakage Pit
( Signed):
My Commission Expires Notary Public, State of Florida
Master Plumber.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. q A .
6'4)
(Signa3�
STATE OF FLORIDA,
COUNTY OF DADE. I ��
Before me, the undersigned authority, d otary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tac
therein by him stated are true.
N E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
mat ' s and /or workmanship.
CLOSETS
BATH
TU BS
S NOWERO
LAVA.
TORIES
SINKTUNIS
SLOP
SINKS
LAUNDRY
TUNIS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
� �-.,
,uT�l�t�
TOTAL
FIXTUREI
-
CONTR.
LIST
yyyy
/
CHECK
/ 1.
1
• -
-
6�
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•O
POOL
L)
1� ^ � /�
: r•
7
°.�.
CONTR.
LIET
LIST
CHECK
4 '
�
®
/ d v
j ® a
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address -_ �r !i<.4%l. 12_ _ d __ -6. _�: n J �-_
-_' __ . -e) • No Street
Registered Architect and /or Engineer
Employing Plumber's Name � '4_ «'_ No. ___ /_. L.' L... Street__ !{1�__k c
Location and Legal Description Lot_- -- 3 ___ _ ____ Block-- __._...1.... _. -- --- - -• -_- - - - - -. Subdiviion.h t-�— SA eta"1-% --a
Street and Number where work is to be performed —No l `3 . �'? 6 i 0 d_ S 'I( St reet_
State work to be performed and purpose of building (By Floors)...
New Building_ -_. V Remodeling Addition Repairs No. of Stories
Amount of Permit $.
Size Septic Tank Type of Tank___ Capacity Gals.
Feet of Drain Tile __._._ _ _ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supp ell ' —. Size of Soakage Pit
( Signed):
My Commission Expires Notary Public, State of Florida
Master Plumber.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. q A .
6'4)
(Signa3�
STATE OF FLORIDA,
COUNTY OF DADE. I ��
Before me, the undersigned authority, d otary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tac
therein by him stated are true.
N E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul
mat ' s and /or workmanship.